消化器看護 Gastrointestinal Nursing : Care and Management of Digestive Disorders

著者名：Donnelly, Leigh (EDT)/Radford, Shellie (EDT)

Wiley（2026/03/31発売）

• 言語：ENG
• ISBN：9781394292813
• eISBN：9781394292820

Description

Comprehensive review of common diseases of the GI tract, covering tumours, benign conditions, and motility disorders

Gastrointestinal Nursing is an authoritative exploration of common diseases of the GI tract, offering evidence-based insights into the complexities of digestive health and unraveling the intricate functions of digestion, secretion, and elimination. Each chapter provides in-depth coverage of a specific organ, detailing common diseases and conditions, and offering comprehensive explanations of aetiology, pathogenesis, presentation, diagnosis, investigations, surgical and pharmacological management, and outcomes.

Gastrointestinal Nursing includes information on:

• Motility disorders of the esophagus including webs and pouches, achalasia, and esophageal dysmotility
• Benign conditions of the stomach including Helicobacter pylori, gastritis, gastric ulcers, vascular conditions, and gastroparesis
• Tumours of the duodenum including adenocarcinoma, lymphomas, leiomyosarcomas, carcinoid tumors, and stromal tumors
• Principles of endoscopy, endoscopy investigations, and emergency and therapeutic endoscopy
• Sustainable gastroenterology, encompassing practices in endoscopy, hepatology, and gastroenterology, as well as sustainable approaches in inflammatory bowel disease (IBD) and drug treatments

Whether you are a seasoned practitioner or a student embarking on your nursing journey, Gastrointestinal Nursing is your go-to resource for mastering the intricacies of care and management of digestive disorders. It is an essential read for nurses in gastroenterology, digestive health, and related specialties.

Table of Contents

List of Contributors xxii

Foreword xxiv

Preface xxv

1 Anatomy and Physiology 1
Conor Hamilton

1.1 Introduction 1

1.2 Overview of the Digestive System 1

1.3 Basic Cell Structure of the GI Tract 2

1.4 Mouth and Pharynx 4

1.5 The Oesophagus 8

1.6 The Stomach 10

1.7 The Pancreas 13

1.8 The Liver 18

1.9 The Gallbladder 20

1.10 The Small Intestine 22

1.11 The Large Intestine 26

1.12 Reflective Questions 29

References 30

2 The Oesophagus 32
Paula Brayford

2.1 Gastroesophageal Reflux Disease 32

2.2 Hiatus Hernia 36

2.3 Oesophagitis and Oesophageal Ulcers 38

2.4 Barrett’s Oesophagus 41

2.5 Tumours of the Oesophagus 45

2.6 Oesophageal Strictures 49

2.7 Oesophageal Webs and Rings 51

2.8 Oesophageal Dysmotility 53

2.9 Achalasia 55

2.10 Oesophageal Diverticula/Pouch 57

2.11 Eosinophilic Oesophagitis 59

2.12 Oesophageal Varices 62

2.13 Mallory Weiss Tear 65

2.14 Reflective Questions 66

References 66

Contents xi

3 The Stomach 69
Regina Raymond and Marta Da Silva Teixeira

3.1 Gastritis 69

3.2 Gastric Ulcers 71

3.3 Helicobacter Pylori 74

3.4 Gastroparesis 77

3.5 Vascular Conditions of the Stomach 80

3.6 Gastric Cancers 82

3.7 Reflective Questions 93

References 93

4 Small Bowel 97
Isobel Mason and Jennie Burch

4.1 Introduction 97

4.2 Small Bowel Bleeding 98

4.3 Small Bowel Tumours 100

4.4 Managing Ida 101

4.5 Small Bowel Crohn’s Disease 102

4.6 Ileostomy 102

4.7 Small Bowel Bacterial Overgrowth 103

4.8 Acute Diarrhoea 104

4.9 Giardiasis 105

4.10 Lactose Intolerance 105

4.11 Irritable Bowel Syndrome 106

4.12 Chronic Intestinal Pseudo-Obstruction 107

4.13 Case Studies and Reflective Questions 108

References 108

5 Pancreas and Neuroendocrine Tumours 110
Stacey Munnelly, Alex Hadall, Scott Oakes, Lynne McCallum, and Nikie Jervis

5.1 Pancreatitis 110

5.2 Pancreatic Cysts 120

5.3 Pancreatic Adenocarcinoma 125

5.4 Pancreatic Neuro-Endocrine Neoplasms 131

5.5 Reflective Questions 138

References 138

6 Liver and Biliary System 147
Sarah Hogg, Nicola Holmes-Long, Kathryn Jack, and Kathryn Houghton

6.1 The Liver 147

6.2 Genetic Disorders of the Liver 157

6.3 Autoimmune Liver Disorders 161

6.4 Biliary System 163

6.5 Reflective Questions 173

References 173

7 Colon, Rectum and Anus 180
Jennie Burch

Introduction 180

7.1 Polyps 180

7.2 Colorectal Cancer 181

7.3 Bowel Cancer Screening 182

7.4 Primary Colorectal Lymphomas 186

7.5 Gastrointestinal Stromal Tumours 186

7.6 Neuroendocrine Tumours 187

7.7 Lynch Syndrome 188

7.8 Familial Adenomatous Polyposis 188

7.9 Anal Cancer 189

7.10 Diverticular Disease 190

7.11 Appendicitis 191

7.12 Haemorrhoids 191

7.13 Anal Fissure 192

7.14 Irritable Bowel Syndrome 193

7.15 Pilonidal Abscess 193

7.16 Perianal Abscess 193

7.17 Anal Fistula 194

7.18 Constipation 195

7.19 Diarrhoea 195

7.20 Anal Incontinence 196

7.21 Low Anterior Resection Syndrome 197

7.23 Melaena 199

7.24 Colostomy 199

7.25 Reflective Questions 200

References 200

8 Inflammatory Bowel Disease 203
Stephanie Massey and Shellie Radford

8.1 Introduction 203

8.2 Extra Intestinal Manifestations 205

8.3 Classification of Disease 205

8.4 Treatments 207

8.5 Psychological Impact and Quality of Life 210

8.6 The Ibd Mdt 210

8.7 Reflective Questions 211

References 211

9 Nursing In the Endoscopy Setting 215
Lindsey Scarisbrick and Leigh Donnelly

9.1 Introduction 215

9.2 The Endoscopy Service 215

9.3 Governance 217

9.4 Joint Advisory Group For GI Endoscopy (Jag) 218

9.5 Endoscopy Workforce 218

9.6 Training 225

9.7 Unit Leadership Team 226

9.8 Innovation of Roles 227

9.9 Sustainable Endoscopy Services 227

9.10 Reflective Questions 230

References 230

10 Nutrition In Gastrointestinal Disease 235
Annelie Shaw

10.1 Introduction 235

10.2 The Importance of Nutrition In GI Disease 235

10.3 The GI Tract: A Nutritional and Immunological Organ 236

10.4 Clinical Consequences of Nutritional Deficits 236

10.5 Nutrition In Specific GI Conditions 236

10.6 Malnutrition In GI Disease 237

10.7 Oral Nutritional Support 240

10.8 Oral Nutritional Support Strategies 242

10.9 Individualisation and Monitoring 248

10.10 Enteral Nutrition 249

10.11 Benefits of Enteral Nutrition (En) Compared to Parenteral Nutrition (Pn) 250

10.12 Enteral Feed Delivery 251

10.13 Parenteral Nutrition 254

10.14 Home Parenteral Nutrition 255

10.15 Types of Feeding Tubes 255

10.16 The Nursing Role In Nutritional Care 258

10.17 Summary 259

References 259

11 Psychosocial Impact of Gastrointestinal Disease 263
Wladyslawa Czuber-Dochan

11.1 Introduction 263

11.2 Pain 263

11.3 Fatigue 268

11.4 Urgency and Fi 273

11.5 Anxiety, Depression and Distress 275

11.6 Body Image 280

11.7 Relationship, Intimacy, Sexuality and Family Planning 282

11.8 Work and Education 287

11.9 The Role of Nurses In the Care of Individuals With GI Conditions 288

11.10 Reflective Questions 290

References 290

Index I- 1